Retained medullary cord confirmed by intraoperative neurophysiological mapping View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-02-23

AUTHORS

Francesco Sala, Giovanni Barone, Vincenzo Tramontano, Pasquale Gallo, Claudio Ghimenton

ABSTRACT

IntroductionA retained medullary cord (RMC) is a rare dysraphic malformation, recently described as a late arrest of secondary neurulation. RMC is also a severely tethering lesion. The critical role of intraoperative neurophysiology to safely manage a RMC has been only anecdotally reported.Case reportWe describe the case of a RMC in a 1.5-year-old child with Currarino syndrome. At surgery, an apparently normal-looking spinal cord, stretched and tethered by a lipoma to the level of S2-S3, was observed. The border between the functional conus and the non functional RMC was defined through neurophysiological mapping. The cord was sharply interrupted at this level and untethered. A specimen was sent for pathology, which confirmed the presence of glial and neural elements. The post-operative neurological exam was normal.ConclusionNeurosurgical procedure for RMC should only be rendered with intraoperative neurophysiological mapping, as the anatomical judgment would not suffice to allow a safe cutting of these “normal-looking” neural structures. More... »

PAGES

1287-1291

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00381-014-2372-0

DOI

http://dx.doi.org/10.1007/s00381-014-2372-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1008806850

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24562472


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